Where paper charts are still utilized, technicians may be involved in scanning and indexing the paper documentation so that it can be displayed correctly in electronic form. Technicians usually work in roles that ensure the quality of the medical record is complete and accurate.
Workplace Detailsįor the medical records technician, hospitals are the most common work environment. Coding is used not only for reimbursement but also for research and various registries for data reporting and trending.Ī career as a medical records technician provides an excellent opportunity for detail-oriented individuals who enjoy the privilege and responsibility of ensuring top quality care without the patient contact that most healthcare positions require. These notes detail symptoms, possible diagnoses and follow-up actions, such as prescribing medications or further testing.Ī medical records technician – now more commonly referred to as a health information technician (HIT) – transfers the data from a doctor’s notes into a patient’s permanent medical record, and the accuracy and timeliness of this data is all-important to appropriate patient treatment.Īnother common role for the technician is often the specialization of coding diagnosis and procedures based on the care a patient received so that the organization can be reimbursed for those services. The doctor reviews a patient’s history as described in the medical record prior to or during a patient’s visit, and then conveys in written or spoken notes the nature and content of the current visit. Every day, people make tens of thousands of visits to doctors and hospitals across the country, and each one of these visits involves a patient’s medical record.
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